Prospective study to assess functional outcome in proximal humerus fracture treated using philos

Abstract

Introduction: Proximal humerus fractures are 2nd most common fractures of upper limb and 3rd overall. Proximal humerus fractures which were stable and minimally displaced were treated conservatively, unstable fractures (3 part, 4 part) were treated with ORIF with Plate osteosynthesis. ORIF with PO allows early mobilization with stable fracture construct. Stability is contributed by the fixed angle construct of the prosthesis. This is a prospective study aimed at knowing the functional outcome in proximal humerus fractures treated with PHILOS plating system.Methods: Prospective study done at tertiary center from June 2020 to November 2021.Over a period of 1.5 yrs. All patients were operated by the same surgeon with standard surgical procedure. Total number of patients were 30. They were graded at 3 months and 6 months and 1year using constant murley scoring and VAS scoring.Results: There were 24males and 6 female’s average age being 40.53yrs, right side being most commonly affected side. Average surgical time was 77.8 min (63 to 92min) average surgical time being 77.8min average blood loss being 257ml, average constant murley score was at 3 mo. was 22.5 at 6mo 56.05 at 1yr 73.3 score at 1 year has increased significantly from 3mo to 1yr (p